NPI: 1417013327 · GLASGOW, MT 59230 · 261QP0905X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,424 | $29K |
| 2019 | 1,134 | $22K |
| 2020 | 709 | $12K |
| 2021 | 709 | $11K |
| 2022 | 969 | $16K |
| 2023 | 663 | $11K |
| 2024 | 316 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 2,477 | 2,401 | $48K | |
| 90472 | 1,570 | 1,519 | $33K | |
| 90651 | 119 | 117 | $6K | |
| 90670 | 278 | 274 | $6K | |
| 90734 | 112 | 110 | $4K | |
| 90710 | 53 | 52 | $3K | |
| 90686 | 315 | 303 | $2K | |
| 90633 | 165 | 163 | $1K | |
| 90715 | 137 | 137 | $1K | |
| 90619 | 39 | 39 | $1K | |
| 90688 | 124 | 122 | $1K | |
| 90696 | 48 | 47 | $872.94 | |
| 90723 | 142 | 140 | $837.28 | |
| 90682 | 30 | 29 | $728.13 | |
| 91322 | 13 | 13 | $437.76 | |
| 90647 | 159 | 155 | $378.62 | |
| 90474 | 24 | 24 | $321.12 | |
| 90680 | 38 | 37 | $186.72 | |
| 90480 | 13 | 13 | $120.00 | |
| 90687 | 34 | 32 | $79.20 | |
| G0008 | Admin influenza virus vac | 34 | 34 | $0.00 |